A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care plan should be given priority?
Encouraging the child to take deep breaths hourly
Maintaining fluids through an intravenous line
Beginning active range-of-motion exercises
Seeing that the child ingests a protein-rich diet
The Correct Answer is B
A. Encouraging deep breathing is important for preventing pulmonary complications but is not the priority in managing a vaso-occlusive crisis.
B. Maintaining hydration through intravenous fluids is the priority as it helps to reduce blood viscosity and prevent further sickling of cells, which is critical in managing a vaso-occlusive crisis.
C. Active range-of-motion exercises are important but are not a priority during an acute vaso-occlusive crisis.
D. A protein-rich diet supports overall health but is not immediately relevant to the acute management of a vaso-occlusive crisis.
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Related Questions
Correct Answer is C
Explanation
A. Rest is recommended until the child recovers, as exertion can worsen symptoms and delay healing.
B. While streptococcal infections can lead to complications, a tooth abscess is not a typical concern.
C. Completing the entire course of antibiotics is crucial to prevent complications such as rheumatic fever and glomerulonephritis.
D. Swollen lymph nodes are common, but they typically do not obstruct the airway in streptococcal pharyngitis.
Correct Answer is A
Explanation
A. The priority is to discuss the findings with the primary care provider to determine the next steps in diagnosis and intervention. Early identification and referral are crucial for addressing developmental delays.
B. Referring to early intervention is important but should follow the discussion with the primary care provider to ensure an appropriate and coordinated response.
C. Providing pamphlets is supportive but secondary to initiating a formal evaluation and intervention process.
D. Educating the parents is essential, but it should be based on a confirmed diagnosis and plan developed in collaboration with healthcare providers.
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